Campylobacter gastroenteritis associated with convulsions: Case report and review of the literature

We present a case of a child with generalized convulsions and dysentery caused by Campylobacter jejunii and review the pediatric literature published on this topic. Our case, as well as previous reports, suggests that in a child with convulsions and dysentery, the differential diagnosis should include shigellosis and also Campylobacter spp. infection. Because azithromycin provides appropriate coverage for both etiologies and in light of the present case, we suggest that it be considered in addition to parenteral ceftriaxone in severe cases of dysentery with or without convulsions.